Clinical

Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

Screening for sepsis: SIRS or qSOFA? A literature review

Screening for sepsis: SIRS or qSOFA? A literature review

Evidence from this article led to the creation of a screening tool developed by the author

Assessment and management of patients with tibial plateau fractures in emergency departments

Assessment and management of patients with tibial plateau fractures in EDs

Such fractures are a common presentation in EDs, yet diagnosis is not always obvious

Partner violence

Emergency healthcare for women who experience intimate partner violence: part 1

This integrative review is the first of a two-part series about intimate partner violence

Ankle sprain

A comparison of two interventions in the treatment of severe ankle sprains and lateral...

Aim Stable ankle injuries are highly prevalent in the UK. Prevention of complications and reoccurrence is essential. The literature shows that plaster of Paris and AirLoc brace are clinically effective treatments for such injuries. However, there is no research measuring patients’ satisfaction with these treatments. This study compared options in the treatment of severe ankle sprains and distal fibular avulsion fractures from patients’ perspectives. The aim was to determine patients’ preferred treatment between below knee plaster cast and AirLoc brace in the management of stable ankle injuries. Method A total of 39 patients who presented at an urban hospital with stable ankle injuries were recruited into a randomised controlled trial. Patient satisfaction levels were measured by questionnaire one week into treatment. The null hypothesis was ‘there is no significant difference in satisfaction levels between the two devices’. Findings There were statistically significant higher patient satisfaction levels in the AirLoc group compared to the plaster cast group. After analysis by the unrelated t-test, the null hypothesis was rejected. Comfort, daily activities, sleep, work and social life were the main contributing factors. Additionally, 67% of the AirLoc group compared to 46% of the plaster cast group were able to return to work. The number needed to treat for one additional AirLoc patient to return to work was 4.8 (five patients). Conclusion Patients’ preferred treatment is the AirLoc brace. The inquiry method could be used to provide patient-centred care in other fields.

Stress

Awareness of secondary traumatic stress in emergency nursing

Nurses should take the necessary steps to safeguard against secondary traumatic stress

Time is Precious: person-centred end of life care in an emergency department. A quality improvement project

Time is precious: person-centred end of life care in an emergency department

A quality improvement project undertaken in one ED at a major tertiary referral hospital

Reducing attendance at trauma clinics by providing first-point-of-contact treatment

Reducing attendance at trauma clinics by providing first-point-of-contact treatment

Implementing trauma pathways in two of Oxfordshire’s community minor injury units

Full-thickness burns due to contact with gastric acid

Full-thickness burns due to contact with gastric acid

This article highlights the potential harm caused by gastric acid

How the emergency department four-hour target affects clinical outcomes for patients diagnosed with a personality disorder

How ED four-hour target affects clinical outcomes for people with a personality disorder

This article challenges the perception of the target as beneficial for all patients

Responding to nerve agent poisoning: a guide for emergency nurses. Part 2

Responding to nerve agent poisoning: a guide for emergency nurses. Part 2

The second part of our emergency nurse guide on nerve agents

A survey of emergency department staff’s opinions and experiences of family presence during invasive procedures and resuscitation

ED staff’s experiences of family presence during invasive procedures and resuscitation

Follow-up to a paper-based questionnaire of emergency department staff's opinions

Reflections on personal psychological resilience arising from the Shoreham air crash in 2015

Reflections on personal psychological resilience after the Shoreham air crash in 2015

Reflections on a psychological journey with reference to the conservation of resources theory

A reflective case study on prescribing anticoagulation for deep vein thrombosis

Clinical factors in prescribing anticoagulation for a patient with a DVT

Nerve agents: a guide for emergency nurses. Part 1

An overview of these agents, their history and manufacture, and how they affect physiology

Pre-hospital pain assessment in paediatric patients

The aim of this article is to review the literature on pre-hospital assessment of pain in...

Local implementation of a national curriculum and competency framework for emergency...

This article reviews the evidence associated with the Royal College of Nursing (2017)...

An intervention to improve retention in emergency nursing

The UK has a serious shortage of nurses and for the first time in recent nursing history 27...

Emergency department leaders and levels of engagement among their nursing staff

Aim Researchers have begun to examine work engagement in nursing, but there is little...

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